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Characteristics of urinary retention in female inpatients managed with medical treatments
Korean Journal of Urology ; : 817-822, 2015.
Artigo em Inglês | WPRIM | ID: wpr-93641
ABSTRACT

PURPOSE:

We aimed to analyze the characteristics of urinary retention (UR) in female inpatients managed with medical treatments. MATERIALS AND

METHODS:

We retrospectively analyzed the medical records of female inpatients referred to the department of urology for UR at our institution from January 2009, to December 2014. UR was defined as a difficulty in self-voiding despite a sufficient urine volume or >300-mL postvoid residual. The data included patients' age, body mass index (BMI), ambulatory status, medical and surgical history, classes of taking drugs, and urinary tract infection.

RESULTS:

A total of 182 women were included as retention group, mean age of 72.64±12.94 years and BMI of 22.94±3.10 kg/m2. In the chi-square analysis, cardiovascular disorders (p=0.000), diabetes mellitus (p=0.008), metastatic malignancy (p=0.008), chronic renal disorders (p=0.028) were found significantly. In the multiple logistic regression analysis, cardiovascular disorders (p=0.002; odds ratio [OR], 0.491), metastatic malignancy (p=0.013; OR, 2.616) were found to increase the risk of UR. The most common surgical history was anti-incontinence surgery (7.2%). In term of medication use, the most prescribed agents were nonsteroidal anti-inflammatory drugs (NSAIDs) (53.8%). The patients taking multiple drugs with antimuscarinic effects except of NSAIDs, narcotics and diuretics were 48 (26.4%). Urinary tract infection was identified in 43 patients (23.6%).

CONCLUSIONS:

UR in females managed with medical treatments could be occurred occasionally. We think that thorough attentions are needed for UR to patients with cardiovascular disorders including diabetes mellitus, metastatic malignancy, chronic renal disorders urinary tract infection, and more careful interests when managing with drugs with antimuscarinic effects.
Assuntos

Texto completo: DisponíveL Índice: WPRIM (Pacífico Ocidental) Assunto principal: Infecções Urinárias / Doenças Cardiovasculares / Anti-Inflamatórios não Esteroides / Estudos Retrospectivos / Fatores de Risco / Retenção Urinária / Fatores Etários / Antagonistas Muscarínicos / Complicações do Diabetes / Hospitalização Tipo de estudo: Estudo de etiologia / Estudo observacional / Estudo prognóstico / Fatores de risco Limite: Idoso / Aged80 / Feminino / Humanos Idioma: Inglês Revista: Korean Journal of Urology Ano de publicação: 2015 Tipo de documento: Artigo

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Texto completo: DisponíveL Índice: WPRIM (Pacífico Ocidental) Assunto principal: Infecções Urinárias / Doenças Cardiovasculares / Anti-Inflamatórios não Esteroides / Estudos Retrospectivos / Fatores de Risco / Retenção Urinária / Fatores Etários / Antagonistas Muscarínicos / Complicações do Diabetes / Hospitalização Tipo de estudo: Estudo de etiologia / Estudo observacional / Estudo prognóstico / Fatores de risco Limite: Idoso / Aged80 / Feminino / Humanos Idioma: Inglês Revista: Korean Journal of Urology Ano de publicação: 2015 Tipo de documento: Artigo